Register as Position

Please fill in the form and send it to us. We will contact you by telephone on receipt of your completed form to discuss your requirements in detail. (* = Required Field)

Name *
Address *
Address
Town *
Postcode *
Home tel *
Work tel *
Mobile tel *
Email *
Preferred Start Date *
(dd/mm/yyyy)
Occupation *
mother father
Nationality *
mother father
Religion *
mother father
Status*
Names, ages and sexes of children in your family:
Known illnesses or allergies: *
Special dietary needs: *
Children's hobbies:*
Do you have pets?*
Yes No
Do you have domestic staff?*
Yes No
Languages spoke in home *
Your local transport station *
Employee Requirements:*
If other please specify: *
Would they be:*
If temporary, dates: *
Age range:*
Days and Hours of work required: *
A Total of no more than: *
hours per week
Days of: *
per week
Salary offered (per week net): *
Additional Babysitting?*
Yes No
Are they required to travel with your family?*
Yes No
Do you need a driver?*
Yes No
Is car provided?*
Yes No
Do they need to be able to Swim?*
Yes No
Is a non smoker*
ESSENTIAL PERFERED UNNECESSARY
Brief description of duties:
If residential, will they have their own? *
Room
Bathroom
TV in Bedroom
Separate accomodation (eg. flat)
Paid Holiday in addition to statutory holidays *
days annually
Have you used any of our services before?*
Yes No
If yes please specify *

How did you hear about North London Nannies/Simply Domestics? *


Declaration: I herby certify that the information given in this form is correct and that I agree to the Terms and Conditions set out by North London Nannies/Simply Domestics